创伤_____膀胱破裂；创伤；治疗

33例创伤性膀胱破裂的临床诊治

http://www.100md.com 《创伤外科杂志》 2005年第2期

创伤,,膀胱破裂；创伤；治疗,1一般资料,2治疗方法,参考文献：

     摘要：目的探讨创伤性膀胱破裂的诊治方法。方法回顾性分析33例创伤性膀胱破裂患者的临床资料。本组32例患者行手术治疗，手术包括膀胱修补术、膀胱造瘘术；对合并后尿道损伤者，根据受伤时间行相应处理；对肠破裂或膀胱直肠贯通伤者行肠修补或结肠造瘘术。1例行保守治疗，留置导尿管引流。结果32例手术治疗患者术后排尿正常，其中1例因损伤严重于术后24小时内死亡。结论膀胱灌注实验结合腹腔穿刺检查及膀胱逆行造影是膀胱破裂简单而可靠的诊断方法。早期诊断、及时救治是救治成功的关键。

    关键词:膀胱破裂；创伤；治疗

    Diagnosis and treatment of traumatic bladder rupture in 33 cases

    WU Guoying,HE Jinchuan,WANG Kai，et al.

    (The 152nd Hospital of PLA,Pingdingshan 467000,China)

    Abstract： Objective To explore the diagnosis and treatment of traumatic bladder rupture.Methods A retrospective study was made on the clinical data of 33 cases with traumatic bladder rupture.Thirtytwo cases were treated surgically with bladder repair and cystostomy.Those with rupture of the posterior urethra were managed according to different injury time,and those with intestinal rupture or vesicorectal penetrating wound were treated with intestinal repair or colostomy.Of all the cases,1 case was managed conservatively with indwelling catheter.ResultsThirtytwo cases recovered with normal miction,and 1 case died within 24 hours after operation due to severe injury.Conclusions Bladder irrigation combined with abdominal paracentesis and retrograde radiography of the bladder are simple and reliable ways for the diagnosis of traumatic bladder rupture.Early diagnosis and timely treatment is very importment for the management of traumatic bladder rupture. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/05/08/97/39/54.htm

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